现役美军预备役和国民警卫队士兵中从不酗酒者的抗酒瘾能力。
Resilience to Hazardous Drinking Among Never-Deployed Male United States Army Reserve and National Guard Soldiers.
机构信息
Department of Family Medicine, University at Buffalo, The State University of New York, Buffalo, NY, USA.
Department of Community Health and Health Behavior, University at Buffalo, The State University of New York, Buffalo, NY, USA.
出版信息
Alcohol Clin Exp Res. 2021 Mar;45(3):566-576. doi: 10.1111/acer.14561. Epub 2021 Feb 20.
BACKGROUND
Negative emotions related to never having been deployed to active duty are associated with an increased risk of hazardous drinking among United States Army Reserve/National Guard (USAR/NG) soldiers. Resiliency factors are known to buffer the effects of combat on hazardous drinking among service members who have been deployed, but it is not known whether these factors are protective for never-deployed service members, or which domains of hazardous drinking might be affected. Therefore, we examined the effects of a range of resiliency factors (i.e., marital satisfaction, psychological hardiness, intrinsic religiosity) on the relation between nondeployment emotions (NDE) and domains of hazardous drinking.
METHODS
We drew a subset of data from Operation: Soldiers and Families Excelling Through the Years (N = 112 never-deployed male soldiers), an ongoing study of USAR/NG soldiers. Regression models examined the main effects of NDE on each of the domains of hazardous drinking (i.e., total Alcohol Use Disorders Identification Test [AUDIT] score, consumption subscale, dependence subscale, alcohol-related problems subscale) and effect modification of each of the resiliency factors on the relations between NDE and the domains of hazardous drinking, separately. Final models controlled for years of military service, rank (enlisted vs. officer), number of military friends in the social network, and depression.
RESULTS
Greater NDE were associated with a higher total AUDIT score, alcohol consumption, and alcohol dependence (ps < 0.05), but not alcohol-related problems (p > 0.05). Marital satisfaction and psychological hardiness buffered the effects of NDE on total AUDIT score and alcohol dependence (p < 0.05). Intrinsic religiosity only modified the effect of NDE on total AUDIT score. None of the resiliency factors modified the effects of NDE on alcohol consumption or alcohol-related problems.
CONCLUSIONS
Soldiers with greater NDE had a greater risk of hazardous drinking in the presence of low resilience. Interventions to promote resiliency are an important consideration for protecting USAR/NG soldiers from hazardous drinking, regardless of their deployment history.
背景
与从未被部署到现役相关的负面情绪与美国陆军预备役/国民警卫队（USAR/NG）士兵的危险饮酒风险增加有关。韧性因素已知可以缓冲战斗对已部署的现役军人危险饮酒的影响，但尚不清楚这些因素是否对从未部署过的军人有保护作用，或者哪些危险饮酒领域可能会受到影响。因此，我们研究了一系列韧性因素（即婚姻满意度、心理坚韧、内在宗教信仰）对非部署情绪（NDE）与危险饮酒领域之间关系的影响。
方法
我们从一项正在进行的美国陆军预备役/国民警卫队士兵研究（Operation：Soldiers and Families Excelling Through the Years，N=112 名从未部署过的男性士兵）中抽取了一部分数据。回归模型分别检验了 NDE 对危险饮酒各领域（即总酒精使用障碍识别测试 [AUDIT] 评分、饮酒分量表、依赖分量表、酒精相关问题分量表）的主要影响，以及每个韧性因素对 NDE 与危险饮酒各领域之间关系的调节作用。最终模型控制了兵役年限、军衔（ enlisted 与 officer）、社交网络中的军人朋友数量和抑郁状况。
结果
更高的 NDE 与更高的总 AUDIT 评分、饮酒量和酒精依赖（p<0.05）相关，但与酒精相关问题无关（p>0.05）。婚姻满意度和心理坚韧缓冲了 NDE 对总 AUDIT 评分和酒精依赖的影响（p<0.05）。内在宗教信仰仅改变了 NDE 对总 AUDIT 评分的影响。韧性因素均未改变 NDE 对饮酒量或酒精相关问题的影响。
结论
NDE 较高的士兵在韧性较低的情况下，有更高的危险饮酒风险。促进韧性的干预措施对于保护 USAR/NG 士兵免受危险饮酒的影响非常重要，无论其部署历史如何。
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